THE COMPARISON OF EASY ONSET AND PANTOMIMING TREATMENT ON BLOCKING IN STAMMERING

S. Imtiaz, M. Kiyani, Tehreem Ijaz
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Abstract

Background: Stammering is a speech fluency disorder categorized by repetitions, prolongations and blocks that interrupt the normal flow and forward movement of speech. The Fluency shaping techniques including Easy Onset and Pantomiming treatment are commonly used techniques for the management of stuttering. Objective: To compare the effectiveness of Pantomiming and easy onset method for the treatment of blocks in stammering in school aged children. Material & Method: A randomized control trial (NCT04813588) was conducted in hospitals of Rawalpindi and Islamabad. The Convenient sampling technique was used for data collection from National Institute of Rehabilitation Medicine (NIRM). The sample size was n=16, randomly divided in Easy onset (n=8) and Pantomiming (n=8) through lottery method. The schools going children and adolescent between 6-18 years of both genders with mild to moderate stammering with blocking symptoms were included. The severity of stuttering was assessed with real time analysis of speech fluency. The data was analysed at the baseline and after three months of intervention. The non-parametric tests were applied for within and between group analyses. Results: The mean age of the participants was 10.38±5.290 years. A total n=11 were males and n=5 were females. When compared both groups, there was no significant difference between Easy onset and Pantomiming technique {MR=9 vs MR=8, U=28, p=0.535} in the management of stuttering after three months of intervention. Conclusion: The easy onset and pantomiming techniques are equally effective in improving the blocking in stuttering. Keywords: Blocks, easy onset, fluency shaping, pantomiming, speech therapy, stammering, stuttering
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易发与哑剧治疗结巴阻塞的比较
背景:口吃是一种语言流畅性障碍,分为重复,延长和阻碍,打断正常的语言流动和向前运动。流畅性塑造技术是治疗口吃常用的技术,包括易起治疗和哑剧治疗。目的:比较哑剧法和易起法治疗学龄儿童结巴的效果。材料与方法:在拉瓦尔品第和伊斯兰堡的医院进行随机对照试验(NCT04813588)。数据采集采用便利抽样技术,来自美国国立康复医学研究所。样本量n=16,采用摇号法随机分为Easy onset (n=8)和Pantomiming (n=8)两组。研究对象为6-18岁的在校儿童和青少年,男女均有轻度至中度口吃伴阻滞症状。口吃的严重程度是通过实时分析语言流畅性来评估的。在基线和干预三个月后对数据进行分析。非参数检验应用于组内和组间分析。结果:参与者平均年龄为10.38±5.290岁。其中男性11例,女性5例。两组比较,Easy onset和Pantomiming技术在干预3个月后对口吃的处理上无显著差异(MR=9 vs MR=8, U=28, p=0.535)。结论:易起法和哑剧法对改善结巴障碍的效果相同。关键词:积木,易发性,流畅性塑造,哑剧,言语治疗,结巴,口吃
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